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ABIM IM BOARDS ITE test with question

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AAA Screening - CORRECT ANSWERS-One time abdominal US for men 65-75 who
have smoked at least 100 cigarrettes

abdominal compartment syndrome - CORRECT ANSWERS-suspect in patients with
oliguria or increasing serum Cr who have had abdominal surgery received massive fluid
transfusion, have a tense abdomen with liver or pancreas disease


diagnose with bladder pressure

acromioclavicular join degeneration presentation - CORRECT ANSWERS-pain on
superior aspect of shoulder, tenderness on palpation of A-C joint, pain with shoulder
adduction and abduction >120 degrees

Additional doses of Pneumococcal polysaccharide caccine (PPSV23) - CORRECT
ANSWERS-If age <65, 5 years after first dose, then again at age 65 (provided at least 5
years have passed since last administration)

adjunctive therapy to bacterial meningitis, suspected to be secondary to streptococcus -
CORRECT ANSWERS-Dexamethasone, improves outcome. Give 15 mins prior to
initiation of antimicrobials

Adverse effect of ethambutol - CORRECT ANSWERS-Retrobulbar neuritis, manifesting
as red-green color discrimination or decreased visual acuity

Age for live attenuated infleunza vaccine - CORRECT ANSWERS-2 to 49 years

Anaplasmosis - CORRECT ANSWERS-Fever, leucopenia, thrombocytopenia , elevated
LFTs
Best treated with Doxycycline (amoxicillin not effective)

ANCA associated vasculitides - CORRECT ANSWERS-1. Granulomatosis with
polyangiitis (Wegener's)
2. Microscopic polyangiitis
3. Eosinophilic granulomatosis with polyangiitis (churg-strauss)

, ankylosing spondylitis symptoms not responding to NSAIDs - CORRECT ANSWERS-
Trial of TNF-alpha inhibitors, e.g adalimumab

anorexia BMI - CORRECT ANSWERS-generally underweight, or less than 18.5

anti -u1-ribonucleoprotein antibody - CORRECT ANSWERS-mixed connective tissue
disease

Anti Glomerular basement membrane antibody disease (goodpasture's syndrome) -
CORRECT ANSWERS--autoimmune disease, antibodies directed against type 4
collagen that binds to GBM
- linear deposition of IgG along GBM
- Rx cyclophosphamide, steroids, plasmapharesis

anticoagulation option in breastfeeding women - CORRECT ANSWERS-warfarin

aPTT in hemophilia A and B - CORRECT ANSWERS-Prolonged, corrects on mixing
study

b-thalasssemia - CORRECT ANSWERS-slightly increased hg A2, residual hg F

Barrter syndrome - CORRECT ANSWERS-Mimics loop diuretics

Biologic DMARDS - CORRECT ANSWERS-Anakinra,Anti-TNF: Etanercept, Infliximab,
Adalimumab

Non Anti-TNF: Rituximab, Abatacept

biphosphonates must be used in all newly diagnosed MM patients requiring therapy -
CORRECT ANSWERS-e.g zoledronic acid

breast cancer prophylaxis post-menopausal women - CORRECT ANSWERS-
exemestane

breast cancer screening modality for women with high breast density - CORRECT
ANSWERS-digital mamography (MRI Breast and US breast have low validity)

Can pyrazinamide be used in active gout? - CORRECT ANSWERS-No. Also caution in
chronic gout, as can exacerbate symptoms

Cancer associated with cyclophosphamide - CORRECT ANSWERS-Bladder cancer,
may present with hematuria

causes of oral iron malabsorption - CORRECT ANSWERS-achlorydia
h.pylori
celiac disease

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